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Jocelyne Kenny, Ian Asquith, Reinhard Guss, Elizabeth Field, Lewis Slade, Alexandra Bone, Keith Oliver, Mark Jones, Chris Ryan, Melvyn Brooks and Chris Norris
The purpose of this paper is to demonstrate how service user involvement for people living with a diagnosis of dementia can contribute to innovate ways of training and…
The purpose of this paper is to demonstrate how service user involvement for people living with a diagnosis of dementia can contribute to innovate ways of training and educating a skilled healthcare workforce.
The paper uses a case study approach, including interviews observations and reflections from facilitators and members of a service user group for people living with dementia in a recovery-based older adult service in East Kent, UK. In total, 11 people were involved in this study: five people are living with a diagnosis of dementia, two are clinical psychologists, two are trainee clinical psychologists and two are placement year psychology undergraduates.
The paper shows how service user involvement groups can enable people with dementia to train a wide range of healthcare professionals in different areas, from the perspective of people living with dementia and healthcare professionals. It also reflects on the challenges that can arise through working with patients in a more collegiate way.
This paper demonstrates that people with dementia can be involved in the training of healthcare professionals in innovative ways. It therefore suggests new ways of working with people with dementia to develop staff skills.
The origins of the roof of the Great Hall at Alexandra Palace go back to Owen Jones' project for a ‘Palace of the People’ to be built at Muswell Hill, published in the…
The origins of the roof of the Great Hall at Alexandra Palace go back to Owen Jones' project for a ‘Palace of the People’ to be built at Muswell Hill, published in the Illustrated London News in 1860, as North London's answer to the Crystal Palace which had newly moved to Sydenham. This was not built, but in response to public request, when the Great Exhibition of 1862 was dismantled, a large section including one of the lateral domes was erected at Muswell Hill to form the first Alexandra Palace. This was done under the direction of the architects, Meeson & Johnson, who produced the water colour painting now held at the Palace illustrating the project viewed from the north (Photo A). The building consisted of a long nave running east‐west with three transepts, the largest in the centre being on the site of the present Great Hall with the crossing crowned by the mammoth dome raised higher than it had been at South Kensington by the introduction of an upper clerestorey level (Figure 1). The diameter of the dome was approximately 160 ft —larger than either the Pantheon (143 ft) or St Peter's (138 ft) in Rome.
From earliest times the land and all it produced to feed and sustain those who dwelt on it was mankind's greatest asset. From the Biblical “land of milk and honey”, down…
From earliest times the land and all it produced to feed and sustain those who dwelt on it was mankind's greatest asset. From the Biblical “land of milk and honey”, down through history to the “country of farmers” visualised by the American colonists when they severed the links with the mother country, those who had all their needs met by the land were blessed — they still are! The inevitable change brought about by the fast‐growing populations caused them to turn to industry; Britain introduced the “machine age” to the world; the USA the concept of mass production — and the troubles and problems of man increased to the present chaos of to‐day. There remained areas which depended on an agri‐economy — the granary countries, as the vast open spaces of pre‐War Russia; now the great plains of North America, to supply grain for the bread of the peoples of the dense industrial conurbations, which no longer produced anything like enough to feed themselves.
The earliest law of the adulteration of food imposed divisions among the local authorities of the day in functions and enforcements; most of the urban and rural sanitary…
The earliest law of the adulteration of food imposed divisions among the local authorities of the day in functions and enforcements; most of the urban and rural sanitary authorities possessed no power under the law. Provisions dealing with unfit food — diseased, unsound, unwholesome or unfit for human food — were not in the first sale of food and drugs measure and there duties were wholly discharged by all local authorities. Rural sanitary authorities were excluded from food and drugs law and boroughs and urban authorities severly restricted. Enforcement in the rural areas was by the county council, although local officers were empowered to take samples of food and submit them for analysis to the public analyst. Power to appoint the public analyst for the area was the main criterion of a “food and drugs authority”. The Minister had power to direct an authority with a population of less than 40,000 but more than 20,000 to enforce the law of adulteration.
Robert E. Spekman, Derek A. Newton and Alexandra Ranson
This case serves as an introduction to field sales management. A manager must address three sales representatives' ingrained behaviors in order to implement a major shift…
This case serves as an introduction to field sales management. A manager must address three sales representatives' ingrained behaviors in order to implement a major shift in marketing strategy. Students should recognize the nature of the "man-in-the-middle" squeeze: the manager caught between the pressure of implementing a new strategy from the top and the resistance to change from the bottom.
It must be evident to those who read the reports of the legal cases which are published month after month in this journal, that the administration of the laws relating to…
It must be evident to those who read the reports of the legal cases which are published month after month in this journal, that the administration of the laws relating to the sale of bad, adulterated, and impoverished food in this country is rapidly becoming chaotic. We labour under the radical defects in the Acts themselves, the negligence of many of the authorities whose duty it is to set the law in motion, the lassitude of Parliament, and the apparent impotence of Government Departments. Add to these the mournful incapacity so frequently exhibited by occupants of the magisterial or judicial bench, when called upon to adjudicate on matters involving scientific points—even when these are only decimal points—the quibbling of defending lawyers, and the remarkable allegations of certain types of reputed expert witnesses, and we have a picture which can only be considered as in the highest degree discreditable. We admit that the picture has its ludicrous aspect, but the issues involved are far too serious to justify laughter or negligence ad infinitum. The difficulties, due to the causes mentioned, which lie in the way of those who really desire to see the Acts effectively enforced, are daily becoming greater, and in the absence of early and drastic remedial measures, can only lead to chaos. We urge again, as we have repeatedly urged before, that immediate, vigorous, and comprehensive action should be taken by the Government Authorities concerned to give legal effect to the recommendations of their own Departmental Committees, and to meet the representations so frequently made by those who are called upon to set the law in motion. If the absence of effective, action is to be attributed to real and not merely to apparent impotence, the only method of securing ultimate reform is that education of public opinion which it is the main object of this journal to carry out. The people who, rightly enough, are disturbed about the physical deterioration of the nation, and who hope great things from yet another Departmental Committee's investigations and reports—probably, like others we could name, doomed to pigeon‐holes and sterility—have not yet appreciated that WATER AIR, and FOOD are the main determining factors in all questions of human deterioration. When the fact is grasped by a sufficient number of persons—possessing votes—it may be hoped that there will be an awakening, and that some legislator of Herculean power will arise to cleanse the Augean stable.
Laurens Holmes, Sequoia Jackson, Alexandra LaHurd, Pat Oceanic, Kelli Grant and Kirk Dabney
The purpose of this paper is to examine the prevalence of obesity/overweight using higher body mass index (BMI), assess racial/ethnic variance in overweight/obese…
The purpose of this paper is to examine the prevalence of obesity/overweight using higher body mass index (BMI), assess racial/ethnic variance in overweight/obese prevalence, and to determine whether or not insurance status explains the variance.
A cross-sectional design was used to assess medical records of children in Nemours Healthcare System during 2011. The authors reviewed the records and extracted information on normal BMI, BMI percent, higher BMI, prevalence of overweight/obese and other variables as well as race and ethnicity. χ2 statistic, Fischer's exact and logistic regression model were used to examine the data.
Overall, the prevalence of higher BMI as overweight/obese was comparable to that of the US pediatric population, 33.4 percent. Compared to Caucasian/white, Asians were less likely to have higher BMI, prevalence odd ratio (POR)=0.79, 95 percent CI=0.70-0.90, but Blacks/African Americans (POR=1.22, 95 percent CI=1.18-1.27) and Some other Race were more likely to have higher BMI, POR=1.61, 95 percent CI=1.92-1.71. After controlling for insurance status, the racial disparities in higher BMI persisted; p<0.0001.
Racial/ethnic disparities exist in childhood higher BMI, which were not removed after controlling for insurance coverage as a surrogate for socioeconomic status. These findings are indicative of assessing sex, religious, dietary patterns, physical activities level, environmental resources, social media resources; and geographic locale as confounders in race/ethnicity and higher BMI association.
Understanding the predisposing factors to obesity/overweight among diverse populations is essential in developing and implementing intervention programs in addressing this epidemic in our nation.
Tom O’Donoghue, Judith Harford and Teresa O’Doherty
The Food Hygiene (General) Regulations, 1970, when they first appeared, seem to have attracted more notice in the daily press than in the specialist journals, although…
The Food Hygiene (General) Regulations, 1970, when they first appeared, seem to have attracted more notice in the daily press than in the specialist journals, although, while re‐enacting much that was in the 1960 regulations, which they repeal, the new measures break new and important ground, as well as introducing a number of amending provisions, which experience has shown were needed. We tend to associate hygiene needs of food and drink with the thronging streets of the city and town, the hidden backrooms of restaurants, the bustling market and the mobile food van, which, in this motorized age, has ousted the bawling backstreet hucksterer.